We Want to Be a Champion for EPA’s National Partnership for Environmental Priorities (NPEP)
For instructions or more information on NPEP Champion program, visit epa.gov/npep
CHAMPION AGREEMENT
Our organization is choosing to become a Champion for EPA's National Partnership for Environmental Priorities. Our goal is to recruit one or more partners that will reduce the quantity of one or more priority chemicals currently found in their products, processes, or releases using techniques such as source reduction, recycling, or other materials management practices. In this enrollment application, we identify two or more voluntary goals to promote reduction of priority chemicals and recruit new partners that we believe we can achieve as champions in this program. The voluntary goal(s) provided below is an initial estimate and may change over time. We may revise our goal(s) or withdraw from the program at any time. If/when we choose to revise our goals or withdraw from the program, we will notify EPA.
IDENTIFYING INFORMATION
Name of Organization: Facility Name: Principal Contact: Title:
Authorizing Official: Title: Address: City/State/Zip: Phone/Fax: Email:
EPA RCRA ID Number: Date:
Note: In order to qualify as an NPEP Champion, you must in Goal 1 commit to recruit or assist in recruiting a partner for NPEP. You must also have a goal, chosen from the list in Goal 2 below.
To accomplish this goal, we will use the following options (check all that apply):
GOAL #1
___Initiate a campaign to recruit new partners
___work independently
___work with Regions
Narrative description of proposed project (please include projected timeline in your description):
How we will measure success:
GOAL #2
___Our Corporate Website
___Link to EPA’s website and/or
___maintain info about NPEP on website
___Feature NPEP in publications
___Technical Assistance
___Create outreach materials promoting NPEP
___ Other (please describe)
___Distribute NPEP outreach materials
___At conferences
___At events
___On website
___Include NPEP in presentations
___At conferences
___At events
Narrative description of proposed project (please include projected timeline in your description):
How we will measure success:
Once these goals have been accomplished, please submit a success story (following outline provided at www.epa.gov/npep). At this point you will qualify for an NPEP Champion Award and the chance to become NPEP Champion of the Year
File Type | application/msword |
Author | OSW |
Last Modified By | Spencer W. Clark |
File Modified | 2009-12-30 |
File Created | 2009-12-30 |